RC 990
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
COMMUNITY SCREEN PROFILE
Low
$2
Average
$297
Median
$50
High
$3.2k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 139.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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103 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | — | $3 | $11 | 348% | — | — – $55 |
| 2 | Buchanan County Health Center Independence, IA facility · case rate · inpatient | 1 | $345 | $454 | $400 | 88% | — | $1 – $1.2k |
| 3 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $159 | $140 | 88% | — | $0 – $407 |
| 4 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 2 | $30 | $34 | $17 | 52% | — | $13 – $61 |
| 5 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $57 | $40 | 69% | — | $13 – $146 |
| 6 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $8 | 33% | — | $16 – $32 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 1 | $2 | $2 | $1 | 40% | — | $1 – $3 |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 9 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 10 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · inpatient | 1 | $25 | $24 | $9 | 38% | — | $4 – $40 |
| 11 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 3 | $18 | $20 | $10 | 50% | — | $3 – $47 |
| 12 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $141 | $460 | $879 | 191% | — | $10 – $3.9k |
| 13 | Gottlieb Memorial Hospital Melrose Park, IL facility · fee schedule · outpatient | 2 | $521 | $2.2k | $2.3k | 103% | — | $96 – $7.0k |
| 14 | Grossmont Hospital Corporation La Mesa, CA fee schedule · inpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 15 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 3 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 16 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 3 | $55 | $414 | $1.5k | 363% | — | $12 – $8.2k |
| 17 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $117 | $142 | 121% | — | $11 – $542 |
| 18 | Grundy County Memorial Hospital Grundy Center, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $181 | $147 | 81% | — | $42 – $473 |
| 19 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $26 | $7 | 28% | — | $16 – $32 |
| 20 | Highland Hospital Rochester, NY fee schedule · outpatient | 2 | $95 | $138 | $167 | 121% | — | $46 – $575 |
| 21 | Humboldt County Memorial Hospital Humboldt, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $32 | $56 | $77 | 138% | — | $1 – $350 |
| 22 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $143 | $516 | $1.0k | 197% | — | $10 – $3.9k |
| 23 | Loyola University Medical Center Maywood, IL facility · fee schedule · outpatient | 2 | $612 | $2.4k | $2.6k | 105% | — | $96 – $8.3k |
| 24 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $2.4k | $1.7k | $1.3k | 80% | — | $10 – $3.9k |
| 25 | MacNeal Hospital Berwyn, IL facility · fee schedule · outpatient | 2 | $521 | $2.2k | $2.3k | 103% | — | $96 – $7.0k |
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